Environment around the pool

What is the condition of the access to the pool, e.g. footpaths

What is the condition of the access around the pool, e.g. footpaths, overgrown, fallen trees

Does the pool require any weed, trees or other debris removing?

Peg Condition -please take 3 photos and add notes after each question

Please describe where you are starting this survey e.g. peg 1, next to the inlet etc.

From you starting point are you conducting this survey by walking around with the pool on the LEFT or RIGHT

What is the condition of the peg you are starting at? For the purposes of this survey only we will call this peg 1

What is the condition of the next peg? For the purposes of this survey only we will call this peg 2

What is the condition of the next peg? For the purposes of this survey only we will call this peg 3

What is the condition of the next peg? For the purposes of this survey only we will call this peg 4

What is the condition of the next peg? For the purposes of this survey only we will call this peg 5

What is the condition of the next peg? For the purposes of this survey only we will call this peg 6

What is the condition of the next peg? For the purposes of this survey only we will call this peg 7

What is the condition of the next peg? For the purposes of this survey only we will call this peg 8

What is the condition of the next peg? For the purposes of this survey only we will call this peg 9

What is the condition of the next peg? For the purposes of this survey only we will call this peg 10

What is the condition of the next peg? For the purposes of this survey only we will call this peg 11

What is the condition of the next peg? For the purposes of this survey only we will call this peg 12

What is the condition of the next peg? For the purposes of this survey only we will call this peg 13

What is the condition of the next peg? For the purposes of this survey only we will call this peg 14

What is the condition of the next peg? For the purposes of this survey only we will call this peg 15

What is the condition of the next peg? For the purposes of this survey only we will call this peg 16

What is the condition of the next peg? For the purposes of this survey only we will call this peg 17

What is the condition of the next peg? For the purposes of this survey only we will call this peg 18

What is the condition of the next peg? For the purposes of this survey only we will call this peg 19

What is the condition of the next peg? For the purposes of this survey only we will call this peg 20

What is the condition of the next peg? For the purposes of this survey only we will call this peg 21

What is the condition of the next peg? For the purposes of this survey only we will call this peg 22

What is the condition of the next peg? For the purposes of this survey only we will call this peg 23

What is the condition of the next peg? For the purposes of this survey only we will call this peg 24

What is the condition of the next peg? For the purposes of this survey only we will call this peg 25

What is the condition of the next peg? For the purposes of this survey only we will call this peg 26

What is the condition of the next peg? For the purposes of this survey only we will call this peg 27

What is the condition of the next peg? For the purposes of this survey only we will call this peg 28

What is the condition of the next peg? For the purposes of this survey only we will call this peg 29

What is the condition of the next peg? For the purposes of this survey only we will call this peg 30

Other Findings

Please use this section to add any additional information not captured in previous sections.

Do you wish to add any additional information?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.